Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint

Background: Pelvic ring fractures is not uncommon, and represented a challenge in their fixation. Anterior plating of sacroiliac joint seems to have less good outcome and low complications rate when compared to other approaches. Aim of the work: The aim of this work is to assess the results of surgi...

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Autores principales:	Mohamed Elmenawy, Fathy Salama, Samir El-Shoura, Ammar Abd-ELhamied Hussein
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	fractures pelvic ring fixation anterior plate Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b003eff3114f493c9b8c111c4024134f
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spelling	oai:doaj.org-article:b003eff3114f493c9b8c111c4024134f2021-12-02T13:52:45ZSurgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint2636-41742682-378010.21608/ijma.2020.20216.1046https://doaj.org/article/b003eff3114f493c9b8c111c4024134f2020-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_67653_e4ba531bc700281acd4bd94d77412100.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Pelvic ring fractures is not uncommon, and represented a challenge in their fixation. Anterior plating of sacroiliac joint seems to have less good outcome and low complications rate when compared to other approaches. Aim of the work: The aim of this work is to assess the results of surgical treatment of unstable pelvic ring fractures with stabilization of sacroiliac joint with anterior plating, the results assessed clinically and radiologically. Patients and methods: Fifteen patients with unstable pelvic ring fractures were included. All underwent full history taking, clinical and radiological evaluations and scheduled for anterior plating of sacroiliac joint. All were followed up for at least 15 months postoperatively. Results: Radiologically, 53.3% had anatomic, 20.0% had moderate and 26.7% had nearly anatomic results. Clinically, satisfaction was reported by 80.0%. The union was achieved in 86.7% and no complications was reported among 80.0%. Complications were significantly associated with non-satisfactory outcome, and radiological outcome was significantly associated with AO-OTA classification. Conclusion: Anterior pelvic plating combined with percutaneous sacroiliac joint screw fixation is effective treatment for unstable pelvic ring fractures with high success rate and low complications.Mohamed ElmenawyFathy SalamaSamir El-ShouraAmmar Abd-ELhamied HusseinAl-Azhar University, Faculty of Medicine (Damietta)articlefracturespelvic ringfixationanteriorplateMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 1, Pp 241-246 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	fractures pelvic ring fixation anterior plate Medicine (General) R5-920
spellingShingle	fractures pelvic ring fixation anterior plate Medicine (General) R5-920 Mohamed Elmenawy Fathy Salama Samir El-Shoura Ammar Abd-ELhamied Hussein Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint
description	Background: Pelvic ring fractures is not uncommon, and represented a challenge in their fixation. Anterior plating of sacroiliac joint seems to have less good outcome and low complications rate when compared to other approaches. Aim of the work: The aim of this work is to assess the results of surgical treatment of unstable pelvic ring fractures with stabilization of sacroiliac joint with anterior plating, the results assessed clinically and radiologically. Patients and methods: Fifteen patients with unstable pelvic ring fractures were included. All underwent full history taking, clinical and radiological evaluations and scheduled for anterior plating of sacroiliac joint. All were followed up for at least 15 months postoperatively. Results: Radiologically, 53.3% had anatomic, 20.0% had moderate and 26.7% had nearly anatomic results. Clinically, satisfaction was reported by 80.0%. The union was achieved in 86.7% and no complications was reported among 80.0%. Complications were significantly associated with non-satisfactory outcome, and radiological outcome was significantly associated with AO-OTA classification. Conclusion: Anterior pelvic plating combined with percutaneous sacroiliac joint screw fixation is effective treatment for unstable pelvic ring fractures with high success rate and low complications.
format	article
author	Mohamed Elmenawy Fathy Salama Samir El-Shoura Ammar Abd-ELhamied Hussein
author_facet	Mohamed Elmenawy Fathy Salama Samir El-Shoura Ammar Abd-ELhamied Hussein
author_sort	Mohamed Elmenawy
title	Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint
title_short	Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint
title_full	Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint
title_fullStr	Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint
title_full_unstemmed	Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint
title_sort	surgical treatment of unstable pelvic ring fracture by anterior plating of sacroiliac joint
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/b003eff3114f493c9b8c111c4024134f
work_keys_str_mv	AT mohamedelmenawy surgicaltreatmentofunstablepelvicringfracturebyanteriorplatingofsacroiliacjoint AT fathysalama surgicaltreatmentofunstablepelvicringfracturebyanteriorplatingofsacroiliacjoint AT samirelshoura surgicaltreatmentofunstablepelvicringfracturebyanteriorplatingofsacroiliacjoint AT ammarabdelhamiedhussein surgicaltreatmentofunstablepelvicringfracturebyanteriorplatingofsacroiliacjoint
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Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint

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